الفهرس 
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Abstract
Tuberculosis is a notoriously infectious disease caused by Mycobacterium tuberculosis. A world-wide report estimated over 8.5 million TB cases distributed all over the world with the majority of cases in Africa and Asia. Progression of TB occurs due to numerous reasons such as environmental factors, malnutrition, infection by human immune deficiency virus (HIV), immunosuppressive therapy and diabetes mellitus. Despite the fact that over third of the world’s population is affected with TB, progression to active disease occurs only in 5–10% of these cases (Hassuna et al., 2021).
Aim of the study:
This study aims to assess nurses’ performance for patients with tuberculosis disease at chest dispensaries in el-gharbia governorate through:
- Assess nurses’ knowledge regarding tuberculosis.
- Assess nurses’ practice regarding tuberculosis
- Assess nurses’ attitude regarding tuberculosis.
Research question:
What is the knowledge extent of nurses about tuberculosis?
What are the practices of the nurses regarding tuberculosis control?
What is the attitude of nurses regarding patient with tuberculosis disease?
Subject and methods
Technical design
• Research design:
A descriptive study design was used to conduct this study. It was used to observe, describe and document the data as it naturally occurs.
• Research Setting:
The study was conducted at all chest dispensaries (7 dispensaries namely El-mahalla El-kubra, samannud, Basioun, Qutur, El-santah, zefta and kafr El-zayat dispensary) in EI- Gharbia governorate. data were collected in six months period; the researcher was available two days/week.
• Sampling:
- Type: A convenient sample was used in this study.
- Size: The sample composed of (150) nurse working in the previously mentioned setting (7 chest dispensaries).
• Tools of Data collection
One tool was used for data collection in this study and written in simple Arabic language.
A structured Interviewing questionnaire was used for data collection; it consists of five parts:
- Part I: Assess demographic characteristics of nurses such as age, gender, marital status, educational level, occupation experience, TB training courses and colleagues’ number.
- Part II: Assess nurses past and current medical history
- Part III: Assessment of nurse s’ knowledge regarding TB definition, causative agent, clinical presentation, affected body part, complication, mode of transmission, predisposing factors, co-infection, investigations, TB prevention, personal protective equipment and treatment.
- Part IV: Assessment of reported practices of nurses related to infection control and use of PPE, providing environmental controls and providing health education.
- Part V: Assessment of nurses’ attitude regarding TB patient.
• Pilot Study
A pilot study was carried out on 10% (15) nurse at the previously mentioned setting to test the applicability of the constructed tools and the clarity of the included questions about knowledge, practice and attitude of nurses related to TB disease. The pilot participants were included in the main study sample.
Results & findings
Findings of the current study can be summarized as:
• 69.3% of studied nurses; their age was >40 years and 100% of them were female, while 74.7% were intermediate diploma in nursing, 53.0 % of them were experience from 5 to less than 10 years and 82.0% of them had training courses on tuberculosis.
• 22.7% from the studied nurses suffered from hypertension, 14.0% suffered from diabetes, while 90.0% of them had vaccinated to prevent tuberculosis, 2.7% did tests for diagnosing tuberculosis and 3.3% made X-RAY for the purpose of diagnosing TB and 0.6% has family member suffer from tuberculosis.
• regarding current medical history of the studied nurses, 2.0% of them recently had general symptoms of tuberculosis, 4.7% of them recently had respiratory symptoms of tuberculosis.
• 90% of the studied nurses had satisfactory total knowledge regarding investigation for TB while 10% had unsatisfactory knowledge.
• 78%of studied nurses at chest dispensaries had satisfactory total knowledge about tuberculosis while 22% had unsatisfactory knowledge.
• total practices of the studied nurses regarding use of personal protective equipment represents 85.2% regularly used, 93.6% of them provide environmental controls regularly, 90.9% of them regularly provide health education.
• 90% of the nurses had satisfactory level of practices regarding prevention of TB compared to 10% of them had unsatisfactory level of practices.
• 85% of the studied nurses had total positive level of attitude regarding TB compared to 15% of them had total negative level of attitude.
• there was a statistically significant relation between the nurse’s level of knowledge regarding TB and their ’ age, level of education, years of experience but there were high statistically significant differences between their total knowledge and training course.
• there was statistically significant relation between total practice of the nurses and their ’ age, level of education, years of experience while highly significances between total reported practices and their training course.
• there was a statistically significant relation between total nurses ’ knowledge about TB disease and their total level of practice.
• there was a statistically significant relation between the attitude of the studied nurse and satisfactory level of their knowledge.
Conclusion:
The current study findings concluded as the following:
More than three quarters of studied nurses had satisfactory total knowledge about tuberculosis and majority of the studied nurses had satisfactory level of practices regarding prevention of TB, also more than three quarters of the studied nurses had total positive level of attitude regarding TB. Additionally, there was a statistically significant relation between total nurses ’ knowledge about TB disease and their total level of practice. Finally, there was a statistically significant relation between the attitude of the studied nurse and satisfactory level of their knowledge.
Recommendations
In the light of the study findings, the following recommendations were suggested:
1. Wide health survey and periodic checkup including x-ray and laboratory investigations should be done for nurses and their families for early detection of latent TB.
2. Conduct more courses in other nursing and medical subjects such as infection control and quality of medical care.
3. Specialize isolation area for TB patient and strict instruction should be done to triage patient just when they arrive the dispensary